16D2298665 CLIA NUMBER - WAUKEE SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 16D2298665
  • Facility Name: WAUKEE SURGERY CENTER, LLC
  • Facility Address: 1025 SE TALLGRASS LN, STE 110
    WAUKEE, IA
    ZIP 50263
  • Facility Phone: 515 875-8000
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Certificate of Compliance
  • Lab Director: LUCAS P. GROBEN
  • NPI Number: 1043094527
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D2298665
LAB Type Ambulatory Surgery Center
Facility Name WAUKEE SURGERY CENTER, LLC
Street 1025 SE TALLGRASS LN, STE 110
City WAUKEE
State IA
ZIP 50263
Phone 515 875-8000
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/5/2024
Certificate Expiration Date 9/4/2026
Facility Type Ambulatory Surgery Center
Lab Director LUCAS P. GROBEN

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This page was last updated on: 9/29/2025